To the Editor: Dr Doig and colleagues,1 in their trial of evidence-based feeding guidelines, and Ms Jones and Dr Heyland,2 in their accompanying Editorial, discussed nutrition therapy in critical care. Both sets of authors referred explicitly to the established important benefits of this intervention. The randomized controlled trial (RCT) successfully implemented guidelines that led to earlier feeding of more calories in ICUs. Success did not lead to any benefit in mortality or length of stay.